Kelebihan Cairan (Fluid Overload) dan Hubungannya dengan Kejadian Acute Kidney Injury (Aki)

  • Erwin Kresnoadi Fakultas Kedokteran Universitas Mataram


Mempertahankan keseimbangan cairan merupakan tujuan utama untuk pasien ICU. Pasien dengan kelebihan cairan akan mengalami peningkatan kebutuhan ventilasi serta pemanjangan waktu perawatan di ICU dan akan terjadi penurunan indeks oksigenasi. Hubungan akumulasi cairan berlebihan dan Acute Kidney Injury (AKI) sangat kompleks. Kelebihan cairan meningkatkan tekanan intra abdomen yang selanjutnya menyebabkan kongesti vena ginjal serta penurunan laju filtrasi glomerulus. Akibatnya, kelebihan cairan menjadi salah satu penanda tingkat keparahan AKI.


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